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Double Apical Impulse (S4) Visualization on Physical Exam - Hi-Res Video Version: https://www.grepmed.com/images/7802/physicalexam-cardiology-impulse-double-gallop-apical-signs

On palpation, the PMI
(S4) Visualization ... 7802/physicalexam-cardiology-impulse-double-gallop-apical-signs ... A prominent S4 sound ... The S4 sound is ... Cardiology